Kamisawa T, Tabata I, Isawa T, Ishiwata J, Fukayama M, Koike M
Department of Internal Medicine and Pathology, Tokyo Metropolitan Komagome Hospital, Japan.
Int J Pancreatol. 1995 Apr;17(2):207-11. doi: 10.1007/BF02788541.
A carcinoma in the dorsal part of the pancreas divisum with an annular pancreas in the anterior part is reported. A 79-yr-old female was admitted in our hospital complaining of epigastralgia. Computed tomography (CT) and ultrasound (US) showed an irregular mass in the pancreatic body. A pancreatogram obtained through the major duodenal papilla demonstrated only the ventral pancreatic duct that encircled the duodenum. Contrast medium injected from the minor duodenal papilla showed Santorini's duct obstruction at the neck portion of the pancreas without communication with the ventral pancreatic duct. The patient died with liver metastases. Autopsy confirmed annular pancreas and a 6-cm tumor in the pancreatic body extending to the pancreatic head and pancreas divisum. Pancreatic carcinoma; histologically a moderately differentiated adenocarcinoma; originated from the dorsal part of pancreas divisum. To our knowledge this is the first report of pancreatic carcinoma associated with annular pancreas coexistent with pancreas divisum.
报告了一例胰腺分裂症背侧部癌合并前部环状胰腺的病例。一名79岁女性因上腹部疼痛入院。计算机断层扫描（CT）和超声（US）显示胰体部有一不规则肿块。通过十二指肠大乳头获得的胰管造影仅显示环绕十二指肠的腹侧胰管。从小十二指肠乳头注入造影剂显示胰腺颈部Santorini管梗阻，与腹侧胰管无相通。患者死于肝转移。尸检证实为环状胰腺，胰体部有一个6厘米的肿瘤，延伸至胰头和胰腺分裂症。胰腺癌；组织学上为中度分化腺癌；起源于胰腺分裂症的背侧部。据我们所知，这是首例胰腺分裂症合并环状胰腺并存的胰腺癌报告。
